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The interaction of sex and body mass index on ventilatory functions in school children

Abstract

Purpose

This study was designed to study the interaction of sex and BMI on ventilatory functions in Egyptian school children.

Design

A cross-sectional study among the school children aged 8–12 years.

Patients and methods

Two hundred and nineteen normal children of both sexes (118 boys and 101 girls), their ages ranged between 8 and 12 years, were selected from one of the Egyptian governmental primary schools, Educational Administration, East Cairo, participated in this study. They were divided into two groups based on their BMI (low BMI 115 and normal BMI 104 consequently). Then each group was subdivided according to the sex (67 boys and 48 girls for low BMI subgroup while in normal BMI subgroup 51 boys and 53 girls were included). Anthropometric measurements were used to calculate the BMI. Ventilatory functions were measured using a spirometer.

Results

The results revealed statistically significant interaction between the effect of sex and BMI on forced vital capacity (P≤0.0001), forced expiratory volume in the first second (P≤0.0001) and no statistically significant interaction on forced expiratory volume in the first second/forced vital capacity%(P=0.44). Furthermore, there was no difference between boys and girls among the measured ventilatory functions. Conclusion

There was an interaction between the effect of sex and BMI on ventilatory functions among Egyptian school children. Therefore, healthy nutrition and exercises are highly recommended in children with low BMI.

References

  1. Qureshi MF, Rathore A, Seerani N, Qureshi S, Faisal B, Kumar R. Nutritional status among primary school going children living in urban area of Sindh Pakistan. Pak J Public Health 2017; 7:62–65.

    Article  Google Scholar 

  2. Singh KM, Singh M, Singh K. Comparison of anthropometric measurements and body composition among the 12 years old rural and urban children. IJPNPE 2017; 2:262–265.

    Google Scholar 

  3. Rodić N. Relationship between anthropometric characteristics and motor abilities of girls in the first grade of elementary school. Acta Kinesiol 2012; 6:37–41.

    Google Scholar 

  4. Sjan-Mari VN, Karen G, Quinette L. The prevalence of underweight, overweight and obesity in a multiracial group of urban adolescent schoolchildren in the Cape Metropole area of Cape Town. S Afr J Clin Nutr 2014; 27:18–24.

    Article  Google Scholar 

  5. Sharma SP, Bhatnagar R, Kumar A, Meena N, Chawala G, Choudhary M. Assessment of malnutrition in pre-School children visiting immunization clinic, Maharana Bhoopal Hospital, Udaipur (Rajasthan). JRMDS 2014; 2: 88–91.

    Google Scholar 

  6. Shah HD, Shaikh WA, Patel D, Singh SK. Dynamic lung functions in underweight Gujarati Indian adolescents boys. NJCM 2012; 3:142–145.

    Google Scholar 

  7. Das D, Mondal H, Patnaik M. Study of dynamic lung function parameters in normal, overweight, and thin school boys. J Sci Soc 2017; 44:36–39.

    Google Scholar 

  8. Mauch RM, Kmit AHP, Marson FAL, Levy CE, Barros-Filho AA, Ribeiro JD. Association of growth and nutritional parameters with pulmonary function in cystic fibrosis: a literature review. Rev Paul Pediatr 2016; 34:503–509.

    PubMed  PubMed Central  Google Scholar 

  9. Venkateshaiah MD, Bhat MR. Some aspects of pulmonary functions in the underweight and overweight human subjects. JPS 2007; 20:3–7.

    Google Scholar 

  10. Piccioni P, Tassinari R, Carosso A, Carena C, Bugiani M, Bono R. Lung function changes from childhood to adolescence: a seven-year follow-up study. BMC Pulm Med 2015; 3:15–31.

    Google Scholar 

  11. Quanjer PH, Stanojevic S, Cole TJ, Baur X, Hall GL, Culver BH, et al. Multiethnic reference values for spirometry for the 3-95-yr age range: the global lung function 2012 equations. Eur Respir J 2012; 40:1324–1343.

    Article  Google Scholar 

  12. Budhiraja S, Singh D, Pooni PA, Dhooria GS. Pulmonary functions in normal school children in the age group of 6-15 years in North India. Iran J Pediatr 2010; 20:82–90.

    PubMed  PubMed Central  Google Scholar 

  13. Gregg LR. Manual of pulmonary function testing. 9th ed. Mosby: Elsevier; 2009.

    Google Scholar 

  14. Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, et al. Standardisation of spirometry. Eur Respir J 2005; 26:319–338.

    Article  CAS  Google Scholar 

  15. Ellen H. Essentials of cardiopulmonary physical therapy. 2nd ed. St. Louis, Missouri: Saunders Elsevier; 2001.

    Google Scholar 

  16. Kouda K, Nakamura H, Fujita Y, Iki M. Relationship between body mass index at age 3 years and body composition at age 11 years among Japanese children: the Shizuoka population-based study. J Epidemiol 2012; 22:411–416.

    Article  Google Scholar 

  17. Isah MD, Makusidi MA, Abbas A, Okpapi JU, Njoku CH, Abba AA. Spirometric evaluation of ventilatory function in adult male cigarette smokers in Sokoto Metropolis. Niger Postgrad Med J 2017; 24: 1–7.

    Article  Google Scholar 

  18. Chetta A, Aiello M, Tzani P, Olivieri D. Assessment and monitoring of ventilatory function and cough efficacy in patients with amyotrophic lateral sclerosis. Monaldi Arch Chest Dis 2007; 67:43–52.

    CAS  PubMed  Google Scholar 

  19. Bellemare F, Jeanneret A, Couture J. Sex differences in thoracic dimensions and configuration. Am J Respir Crit Care Med 2003; 168:305–312.

    Article  Google Scholar 

  20. Kaur R, Chauhan S, Bhardwaj S. Comparative spirometric studies in normal and malnourished children. Natl J Physiol Pharm Pharmacol 2012; 2:134–139.

    Article  CAS  Google Scholar 

  21. Al-Katheri AE. Impact of backpack load on ventilator function among 9-12 year old Saudi girls. Saudi Med J 2013; 34:1255–1261.

    PubMed  Google Scholar 

  22. LoMauro A, Aliverti A. Sex differences in respiratory function. Breathe 2018; 14:131–140.

    Article  Google Scholar 

  23. González FJ, Suárez CC, Cuadrado LV, Leis R, Cabanas R, Tojo R. Lung function reference values in children and adolescents aged 6 to 18 years in Galicia. Arch Bronconeumol 2008; 44:295–302.

    Article  Google Scholar 

  24. Heinzmann-Filho JP, Vasconcellos Vidal PC, Jones MH, Donadio MV. Normal values for respiratory muscle strength in healthy preschoolers and school children. Respir Med 2012; 106:1639–1646.

    Article  Google Scholar 

  25. Hulzebos E, Takken T, Reijneveld EA, Mulder MMG, Bongers BC. Reference values for respiratory muscle strength in children and adolescents. Respiration 2018; 95:235–243.

    Article  Google Scholar 

  26. Belacy NA, Altemani AH, Abdelsalam MH, El-Damarawi MA, Elsawy BM, Nasif NA, El-Bassuoni EA. Reference vlues for lung function tests in adult Saudi population. IJIM 2014; 3:43–52.

    Google Scholar 

  27. Soundariya K, Neelambikai N. Influence of anthropometric indices on pulmonary function tests in young individuals. World J Med Sci 2013; 9:157–161.

    Google Scholar 

  28. Behera AA, Behera BK, Dash S, Mishra S. Effect of body mass index on gender difference in lung functions in Indian population. Int J Clin Exp Physiol 2014; 1:229–231.

    Article  Google Scholar 

  29. Wang S, Sun X, Hsia TC, Lin X, Li M. The effects of body mass index on spirometry tests among adults in Xi’an, China. Medicine 2017; 96:1–4.

    Google Scholar 

  30. Kohli PG, Kaur H, Arora R, Kaur K. Influence of body mass index on pulmonary function tests in young Punjabi population. APAD 2017; 2:5–9.

    Google Scholar 

  31. Nair RH, Kesavachandran C, Shashidhar S. Spirometric impairments in undernourished children. Indian J Physiol Pharmacol 1999; 43:467–473.

    CAS  PubMed  Google Scholar 

  32. Lad UP, Jaltade VG, Lad SS, Satyanarayana P. Correlation between body mass index (BMI), body fat percentage and pulmonary functions in underweight, overweight and normal weight adolescents. JCDR 2012; 6:350–353.

    Google Scholar 

  33. Mannino DM, Ford ES, Redd SC. Obstructive and restrictive lung disease and functional limitation: data from the Third National Health and Nutrition Examination. J Intern Med 2003; 254:540–547.

    Article  CAS  Google Scholar 

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Correspondence to Eman Wagdy PhD.

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Wagdy, E., Nasef, S. The interaction of sex and body mass index on ventilatory functions in school children. Bull Fac Phys Ther 24, 14–19 (2019). https://doi.org/10.4103/bfpt.bfpt_16_18

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